The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

We apologize at this time we are unable to process online appointment requests. Please call directly to the office for an appointment

Items in bold are required.

Name:

Address:

City:

State/Province:

Zip/Postal:

Phone:

Email:

Are you a current patient?

YesNo

How did you hear about us?

Best time(s) to call?

MorningNoonAfternoonEvening

Which office location(s) would you prefer for your appointment?*East Haven 63 High Street